Get the free Medi-Cal Managed Care Monitoring - DHCS - CA.gov

California Department of Health Care Services July 1, 2022Managed Care Quality and Monitoring DivisionMedical Record Review Tool Health Plan: ___Review Date: ___Site ID: ___ Site NPI: ___Reviewer

How to fill out medi-cal managed care monitoring

How to fill out medi-cal managed care monitoring

1. Access the Medi-Cal managed care monitoring form online or obtain a physical copy from your healthcare provider.
2. Fill out all required personal information, including name, date of birth, and Medi-Cal ID number.
3. Provide details about your current healthcare provider and the managed care plan you are enrolled in.
4. Answer any questions about your medical history, current health status, and any recent healthcare services received.
5. Review the form for accuracy and completeness before submitting it to the appropriate Medi-Cal office.

Who needs medi-cal managed care monitoring?

1. Individuals who are enrolled in Medi-Cal managed care plans.
2. Healthcare providers who are responsible for monitoring and coordinating care for Medi-Cal patients.

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What is medi-cal managed care monitoring?

Medi-Cal managed care monitoring is the process of overseeing and evaluating the performance of managed care plans in the Medi-Cal program.

Who is required to file medi-cal managed care monitoring?

Managed care plans participating in the Medi-Cal program are required to file Medi-Cal managed care monitoring.

How to fill out medi-cal managed care monitoring?

To fill out Medi-Cal managed care monitoring, managed care plans need to report on various performance metrics and data points as outlined by the program.

What is the purpose of medi-cal managed care monitoring?

The purpose of Medi-Cal managed care monitoring is to ensure that managed care plans are meeting performance standards and providing quality care to Medi-Cal beneficiaries.

What information must be reported on medi-cal managed care monitoring?

Managed care plans must report on metrics such as access to care, quality of care, member satisfaction, and financial performance.